WO2014070681A8 - Dispositifs ajustables pour traiter l'arthrite du genou - Google Patents

Dispositifs ajustables pour traiter l'arthrite du genou Download PDF

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Publication number
WO2014070681A8
WO2014070681A8 PCT/US2013/067142 US2013067142W WO2014070681A8 WO 2014070681 A8 WO2014070681 A8 WO 2014070681A8 US 2013067142 W US2013067142 W US 2013067142W WO 2014070681 A8 WO2014070681 A8 WO 2014070681A8
Authority
WO
WIPO (PCT)
Prior art keywords
tibia
outer housing
knee
inner shaft
treating arthritis
Prior art date
Application number
PCT/US2013/067142
Other languages
English (en)
Other versions
WO2014070681A1 (fr
Inventor
David Skinlo
Thomas B. Buford
Ephraim Akyuz
Thomas Weisel
Roger Pisarnwongs
Adam G. BECKETT
Jeffrey Lee GILBERT
Frank Yan LIU
Urs Weber
Edmund J ROSCHAK
Blair Walker
Scott Pool
Original Assignee
Ellipse Technologies, Inc.
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority to BR112015009446-5A priority Critical patent/BR112015009446B1/pt
Priority to US14/379,742 priority patent/US10130405B2/en
Priority to EP20191872.9A priority patent/EP3760147B1/fr
Priority to CN201380068926.8A priority patent/CN104902854B/zh
Application filed by Ellipse Technologies, Inc. filed Critical Ellipse Technologies, Inc.
Priority to EP13850787.6A priority patent/EP2911616B1/fr
Priority to CA2889769A priority patent/CA2889769A1/fr
Priority to IN3762DEN2015 priority patent/IN2015DN03762A/en
Priority to AU2013338218A priority patent/AU2013338218B2/en
Priority to RU2015120291A priority patent/RU2626961C2/ru
Publication of WO2014070681A1 publication Critical patent/WO2014070681A1/fr
Publication of WO2014070681A8 publication Critical patent/WO2014070681A8/fr
Priority to US16/159,061 priority patent/US11213330B2/en
Priority to US16/263,333 priority patent/US11191579B2/en
Priority to US17/544,856 priority patent/US11871971B2/en
Priority to US18/410,052 priority patent/US20240180599A1/en

Links

Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8095Wedge osteotomy devices
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/16Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans
    • A61B17/1662Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body
    • A61B17/1675Bone cutting, breaking or removal means other than saws, e.g. Osteoclasts; Drills or chisels for bones; Trepans for particular parts of the body for the knee
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/72Intramedullary pins, nails or other devices
    • A61B17/7216Intramedullary pins, nails or other devices for bone lengthening or compression
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8004Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates with means for distracting or compressing the bone or bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8023Variable length plates adjustable in both directions
    • AHUMAN NECESSITIES
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    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/80Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates
    • A61B17/8061Cortical plates, i.e. bone plates; Instruments for holding or positioning cortical plates, or for compressing bones attached to cortical plates specially adapted for particular bones
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
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    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/885Tools for expanding or compacting bones or discs or cavities therein
    • A61B17/8852Tools for expanding or compacting bones or discs or cavities therein capable of being assembled or enlarged, or changing shape, inside the bone or disc
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
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    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/88Osteosynthesis instruments; Methods or means for implanting or extracting internal or external fixation devices
    • A61B17/8872Instruments for putting said fixation devices against or away from the bone
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B6/00Apparatus or devices for radiation diagnosis; Apparatus or devices for radiation diagnosis combined with radiation therapy equipment
    • A61B6/12Arrangements for detecting or locating foreign bodies
    • AHUMAN NECESSITIES
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    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7014Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks
    • A61B17/7016Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks electric or electromagnetic means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B17/70Spinal positioners or stabilisers ; Bone stabilisers comprising fluid filler in an implant
    • A61B17/7001Screws or hooks combined with longitudinal elements which do not contact vertebrae
    • A61B17/7002Longitudinal elements, e.g. rods
    • A61B17/7014Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks
    • A61B17/7017Longitudinal elements, e.g. rods with means for adjusting the distance between two screws or hooks pneumatic or hydraulic means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00017Electrical control of surgical instruments
    • A61B2017/00212Electrical control of surgical instruments using remote controls
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00398Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like using powered actuators, e.g. stepper motors, solenoids
    • A61B2017/00402Piezo electric actuators
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00367Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like
    • A61B2017/00411Details of actuation of instruments, e.g. relations between pushing buttons, or the like, and activation of the tool, working tip, or the like actuated by application of energy from an energy source outside the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00539Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated hydraulically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00535Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated
    • A61B2017/00544Surgical instruments, devices or methods, e.g. tourniquets pneumatically or hydraulically operated pneumatically
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00681Aspects not otherwise provided for
    • A61B2017/00734Aspects not otherwise provided for battery operated
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00867Material properties shape memory effect
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00831Material properties
    • A61B2017/00876Material properties magnetic
    • AHUMAN NECESSITIES
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    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00982General structural features
    • A61B2017/00991Telescopic means
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B2017/564Methods for bone or joint treatment
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/56Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor
    • A61B17/58Surgical instruments or methods for treatment of bones or joints; Devices specially adapted therefor for osteosynthesis, e.g. bone plates, screws, setting implements or the like
    • A61B17/68Internal fixation devices, including fasteners and spinal fixators, even if a part thereof projects from the skin
    • A61B2017/681Alignment, compression, or distraction mechanisms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61FFILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02Prostheses implantable into the body
    • A61F2/30Joints
    • A61F2/38Joints for elbows or knees
    • A61F2/389Tibial components

Landscapes

  • Health & Medical Sciences (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Medical Informatics (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Biomedical Technology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Veterinary Medicine (AREA)
  • Neurology (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • High Energy & Nuclear Physics (AREA)
  • Optics & Photonics (AREA)
  • Pathology (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgical Instruments (AREA)
  • Prostheses (AREA)

Abstract

L'invention concerne un procédé pour changer l'angle d'un os. Ledit procédé consiste : à pratiquer une ostéotomie dans un tibia d'un patient; à former une cavité dans le tibia par élimination de matière osseuse; à mettre en place un implant ajustable de manière non invasive dans la cavité, ledit implant ajustable de manière non invasive comprenant un actionneur ajustable présentant un logement extérieur et une tige intérieure, disposée de manière télescopique dans le logement extérieur, et un élément d'entraînement conçu pour être actionné à distance dans le but de déplacer de manière télescopique la tige intérieure par rapport au logement extérieur; à coupler une extrémité de l'implant à la première partie du tibia; à coupler l'autre extrémité de l'implant à la deuxième partie du tibia; et à faire fonctionner à distance l'élément d'entraînement pour déplacer ce manière télescopique la tige intérieure par rapport au logement extérieur afin de changer un angle entre la première partie et la deuxième partie du tibia.
PCT/US2013/067142 2012-10-29 2013-10-28 Dispositifs ajustables pour traiter l'arthrite du genou WO2014070681A1 (fr)

Priority Applications (13)

Application Number Priority Date Filing Date Title
CA2889769A CA2889769A1 (fr) 2012-10-29 2013-10-28 Dispositifs ajustables pour traiter l'arthrite du genou
EP20191872.9A EP3760147B1 (fr) 2012-10-29 2013-10-28 Dispositifs ajustables pour traiter l'arthrite du genou
CN201380068926.8A CN104902854B (zh) 2012-10-29 2013-10-28 用于治疗膝盖关节炎的可调节装置
AU2013338218A AU2013338218B2 (en) 2012-10-29 2013-10-28 Adjustable devices for treating arthritis of the knee
EP13850787.6A EP2911616B1 (fr) 2012-10-29 2013-10-28 Dispositifs ajustables pour traiter l'arthrite du genou
US14/379,742 US10130405B2 (en) 2012-10-29 2013-10-28 Adjustable devices for treating arthritis of the knee
IN3762DEN2015 IN2015DN03762A (fr) 2012-10-29 2013-10-28
BR112015009446-5A BR112015009446B1 (pt) 2012-10-29 2013-10-28 Sistema para mudança de um ângulo de um osso de um sujeito
RU2015120291A RU2626961C2 (ru) 2012-10-29 2013-10-28 Корректируемые устройства для лечения артрита колена
US16/159,061 US11213330B2 (en) 2012-10-29 2018-10-12 Adjustable devices for treating arthritis of the knee
US16/263,333 US11191579B2 (en) 2012-10-29 2019-01-31 Adjustable devices for treating arthritis of the knee
US17/544,856 US11871971B2 (en) 2012-10-29 2021-12-07 Adjustable devices for treating arthritis of the knee
US18/410,052 US20240180599A1 (en) 2012-10-29 2024-01-11 Adjustable devices for treating arthritis of the knee

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US201261719887P 2012-10-29 2012-10-29
US61/719,887 2012-10-29
US201361868535P 2013-08-21 2013-08-21
US61/868,535 2013-08-21

Related Child Applications (2)

Application Number Title Priority Date Filing Date
US14/379,742 A-371-Of-International US10130405B2 (en) 2012-10-29 2013-10-28 Adjustable devices for treating arthritis of the knee
US16/159,061 Continuation US11213330B2 (en) 2012-10-29 2018-10-12 Adjustable devices for treating arthritis of the knee

Publications (2)

Publication Number Publication Date
WO2014070681A1 WO2014070681A1 (fr) 2014-05-08
WO2014070681A8 true WO2014070681A8 (fr) 2014-06-26

Family

ID=50627977

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2013/067142 WO2014070681A1 (fr) 2012-10-29 2013-10-28 Dispositifs ajustables pour traiter l'arthrite du genou

Country Status (9)

Country Link
US (6) US10130405B2 (fr)
EP (2) EP3760147B1 (fr)
CN (1) CN104902854B (fr)
AU (1) AU2013338218B2 (fr)
BR (1) BR112015009446B1 (fr)
CA (1) CA2889769A1 (fr)
IN (1) IN2015DN03762A (fr)
RU (2) RU2626961C2 (fr)
WO (1) WO2014070681A1 (fr)

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US10130405B2 (en) 2018-11-20
BR112015009446B1 (pt) 2021-07-20
WO2014070681A1 (fr) 2014-05-08
CA2889769A1 (fr) 2014-05-08
RU2017126066A (ru) 2019-01-31
US20190046252A1 (en) 2019-02-14
US11213330B2 (en) 2022-01-04
US11871971B2 (en) 2024-01-16
US20220096136A1 (en) 2022-03-31
CN104902854B (zh) 2017-10-03
EP3760147A1 (fr) 2021-01-06
US20150223854A1 (en) 2015-08-13
AU2013338218B2 (en) 2017-05-04
US11191579B2 (en) 2021-12-07
AU2013338218A1 (en) 2015-05-21
IN2015DN03762A (fr) 2015-10-02
US20240180599A1 (en) 2024-06-06
EP2911616A4 (fr) 2016-07-13
RU2015120291A (ru) 2016-12-27
EP2911616A1 (fr) 2015-09-02
RU2626961C2 (ru) 2017-08-02
EP3760147B1 (fr) 2022-11-30
US20190159817A1 (en) 2019-05-30
BR112015009446A2 (pt) 2017-07-04
US20140155946A1 (en) 2014-06-05
CN104902854A (zh) 2015-09-09

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